WES MOORE, Governor Ch. 870
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Chapter 870
(Senate Bill 996)
AN ACT concerning
Advanced Practice Registered Nurses – Professional Liability Insurance
Coverage – Notification Requirements
FOR the purpose of requiring advanced practice registered nurses practicing as an
advanced practice registered nurse in the State to notify patients in writing of certain
information relating to professional liability insurance coverage; requiring that the
notification be provided at certain visits and as part of certain informed consents,
signed by a patient at certain times, and retained as part of the advanced practice
registered nurse’s patient records; requiring each advanced practice registered nurse
practicing as an advanced practice registered nurse in the State who does not
maintain professional liability insurance coverage to post the information in a
certain location at the advanced practice registered nurse’s place of practice; and
generally relating to advanced practice registered nurses and professional liability
coverage.
BY adding to
Article – Health Occupations
Section 8–515
Annotated Code of Maryland
(2021 Replacement Volume and 2023 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
That the Laws of Maryland read as follows:
Article – Health Occupations
8–515.
(A) EACH ADVANCED PRACTIC E REGISTERED NURSE P RACTICING AS AN
ADVANCED PRACTICE RE GISTERED NURSE IN TH E STATE SHALL NOTIFY A PATIENT
IN WRITING IF:
(1) THE ADVANCED PRACTICE REGISTE RED NURSE DOES NOT
MAINTAIN PROFESSIONA L LIABILITY INSURANC E COVERAGE; OR
(2) THE ADVANCED PRACTICE REGISTERED NURSE ’S PROFESSIONAL
LIABILITY INSURANCE COVERAGE HAS LAPSED FOR ANY PERIOD OF TI ME AND HAS
NOT BEEN RENEWED .
Ch. 870 2024 LAWS OF MARYLAND
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(B) THE WRITTEN NOTIFICATION PROVIDED TO THE PATI ENT UNDER
SUBSECTION (A) OF THIS SECTION SHAL L BE:
(1) PROVIDED:
(I) AT THE FIRST VISIT BY THE PATIENT DURING A NY PERIOD
IN WHICH THE ADVANCED PRACTICE RE GISTERED NURSE DOES NOT MAINTAIN
PROFESSIONAL LIABILI TY INSURANCE, UNLESS THE VISIT IS FOR THE PURPOSE OF
RECEIVING INCIDENTAL MEDICAL C ARE THAT WILL BE REN DERED FREE OF
CHARGE; AND
(II) AS PART OF EACH INFOR MED CONSENT OBTAINED BEFORE
ANY PROCEDURE OR OPE RATION DISCUSSED OR OFFERED FOR THE PATI ENT’S
CONSIDERATION IS PERFORM ED;
(2) SIGNED BY THE PATIENT AT THE TIME OF THE P ATIENT’S VISIT OR
AT THE TIME THE INFORMED CONSENT IS SIGNED; AND
(3) RETAINED BY THE ADVAN CED PRACTICE REGISTE RED NURSE AS
PART OF THE ADVANCED PRACTICE REGISTERED NURSE’S PATIENT RECORDS.
(C) EACH ADVANCED PRACTIC E REGISTERED NURSE P RACTICING AS AN
ADVANCED PRACTICE RE GISTERED NURSE IN TH E STATE WHO DOES NOT MA INTAIN
PROFESSIONAL LIABILI TY INSURANCE COVERAG E SHALL POST THIS IN FORMATION
IN A CONSPICUOUS L OCATION IN THE ADVANC ED PRACTICE REGISTERED N URSE’S
PLACE OF PRACTICE .
SECTION 2. AND BE IT FURTHER ENACTED, That the State Board of Nursing
shall develop appropriate language for the notification required under § 8–515 of the Health
Occupations Article as enacted by Section 1 of this Act.
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2024.
Approved by the Governor, May 16, 2024.